【For those who plan to travel to the United States】ESTA Online Center offers a professional service applying for an ESTA (Electronic System for Travel Authorization).

Required
Fill out required information
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Press " ? " to see a detailed explanation of the question

Applicant information

Given name
Required
Family name
Required
Do you have any aliases?
Given name (alias)
Required
Family name (alias)
Required
Date of birth
Required
/ /
Gender
Required
Nationality
Required
Country of birth
Required
City of birth
Please enter the city, town, village or village where the applicant was born in English letters.
If you are unsure, you can leave it blank.
Are you a CBP GE member?
Are you a member of the CBP (Customs and Border Protection) Global Entry Program? If your answer is “Yes”, enter your PASSID
GE membership number
Required
Do you use social media?
This question is an optional.
If you are using online services (platforms, applications, websites) in information sharing, interaction with others, (and/or) businesses activities/collaboration, please select “Yes”. If you do not use them or you do not know SNS please select “No”.
Social media Platform in use
Required
Social Media Identifier
Required

Passport information

Passport number
Required
Passport date of issue
Required
/ /
Passport expiration date
Required
/ /

Passport from another country

Have you ever been issued a passport from another country?
Have you ever been issued a passport or national travel ID from a country other than the one you selected under “Nationality”
Issuing Country
Required
Document Type
Required
Document Number
Required
Expiration Year
Required

Other nationality or citizenship

Do you currently possess any other nationality?
Are you currently a citizen or a national of any countries other than your own?
Country of Citizenship / Nationality
Required
How did you acquire citizenship / nationality from this country?
Required
Have you ever possessed any other nationality?
Have you ever been a citizen or a citizen of some other country?
Country of Citizenship / Nationality
Required

Parents names

One or both of these fields may be left blank if you are unsure of one or both of your parents’ names. “Parents” under this question may include parents by blood, adoptive parents, step-parents, and legal guardians.
Given name
Family name
Given name
Family name

Contact information

Email address
Required
We will send you a notification of the completion of application and authentication result to this email address, Please enter the address that can be received and confirmed. Depending on your email server, spam filter or some other filtering functions might have been set up and the email sent from us may not be reached (especially mobile mail). Please make sure to check the spam folder as well. If you can not confirm it even after the application is completed, it is possible that the email has not arrived. In such case, please contact us from the inquiry form and inform us the different email address that is receivable of our email.
Email address (confirm)
Required
Telephone number
Required
Type of telephone
Required
Would you like to register an emergency contact?
Please enter the emergency contact information when registering the information.
(Example) Family, friend, work related person
Family name
Given name
Email address
Country Code
Phone Number

Name on credit card

Enter the name on the credit card for your subsequent payments.
Given name
Required
Family name
Required

Home address

Postal code
Required
Prefecture
Required
Municipality
Required
Street, number
Required
Building name
Unit number

Employer information

Are you employed?
Employer Name
Required
State/Province/Region
City
Street, Number
Building Name
Phone Number
Job Title

Travel information

Will you transit to another country?
U.S. Point of Contact Name
State
City
Street, Number
Building Name
Unit Number
Phone Number

Other questions  Required

Yes No
Question 1:
Do you have a physical or mental disorder; or are you a drug abuser or addict; or do you currently have any of the following diseases?
・ Cholera
・ Diphtheria
・ Tuberculosis, infectious
・ Plague
・ Smallpox
・ Yellow fever
・ Viral hemorrhagic fever, ebola, Lassa fever, Marburg hemorrhagic fever, severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality, including Crimean-Congo hemorrhagic fever
Yes No
Question 2:
Have you ever been arrested or convicted for a crime that resulted in serious damage to property, or serious harm to another person or government authority?
Yes No
Question 3:
Have you ever violated any law related to possessing, using, or distributing illegal drugs?
Yes No
Question 4:
Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide?
Yes No
Question 5:
Have you ever committed fraud or misrepresented yourself or others to obtain, or assist others to obtain, a visa or entry into the United States?
Yes No
Question 6:
Are you currently seeking employment in the United States or were you previously employed in the United States without prior permission from the U.S. government?
Yes No
Question 7:
Have you ever been denied a U.S. visa you applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry?
Yes No
Question 8:
Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government?
Yes No
Question 9:
Have you traveled to, or been present in Iraq, Syria, Iran, Sudan, Libya, Somalia, or Yemen on or after March 1, 2011?

ESTA application consent items  Required

Item 1. Do you consent to the following information on the U.S. government website?

The Electronic System for Travel Authorization performs checks against law enforcement databases. All travelers seeking admission to the United States under the Visa Waiver Program are required to obtain an electronic travel authorization using this system prior to being granted boarding.

If your electronic travel authorization application is approved, it establishes that you are eligible to travel, but does not establish that you are admissible to the United States under the Visa Waiver Program. Upon arrival to the United States, you will be inspected by a U.S. Customs and Border Protection Officer at a port of entry who may determine that you are inadmissible under the Visa Waiver Program or for any reason under United States law.

A determination that you are not eligible for electronic travel authorization does not preclude you from applying for a visa to travel to the United States.

All information provided by you, or on your behalf by a designated third party, must be true and correct. An electronic travel authorization may be revoked at any time and for any reason, such as new information influencing eligibility. You may be subject to administrative or criminal penalties if you knowingly and willfully make a materially false, fictitious, or fraudulent statement or representation in an electronic travel authorization application submitted by you or on your behalf.

・ Waiver of Rights I have read and understand that I hereby waive for the duration of my travel authorization obtained via ESTA any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program. In addition to the above waiver, as a condition of each admission into the United States under the Visa Waiver Program, I agree that the submission of biometric identifiers (including fingerprints and photographs) during processing upon arrival in the United States shall reaffirm my waiver of any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program.

Certification I, the applicant, hereby certify that I have read, or have had read to me, all the questions and statements on this application and understand all the questions and statements on this application. The answers and information furnished in this application are true and correct to the best of my knowledge and belief. For third-parties submitting the application on behalf of the applicant, I hereby certify that I have read to the individual whose name appears on this application (applicant) all the questions and statements on this application. I further certify that the applicant certifies that he or she has read, or has had read to him or her, all the questions and statements on this application, understands all the questions and statements on this application, and waives any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to his or her admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program. The answers and information furnished in this application are true and correct to the best of the applicant's knowledge and belief.

Item 2. Do you consent to the following information on this website?

Users of the ESTA Online Center shall comply with the Privacy Policy posted on the Site. As used in the Privacy Policy, the term “Site” refers to the ESTA Online Center. As used in the Privacy Policy, the terms “applicant,” “user,” “customer,” and “third party” refer to parties concluding agreements via the Site. Users of the Site shall consent to all agreements and rules indicated on the Site. The Site includes all information, designs, and systems used on the Site. Users of the Site acknowledge that they will not use it for unlawful purposes. Users of the Site acknowledge that they will not violate copyright, trademark rights, or intellectual property rights. Users of the Site acknowledge that they will not intentionally copy, save, reproduce, post, or distribute Site software. The Site’s systems, images, text, graphics, and other content are included in its copyrighted content. The Site operates in accordance with the Privacy Policy, and it may collect information for purposes of submitting ESTA applications for customers. Service charges will apply in accordance with the progress of services used. Application fee charged by the U.S. Department of Homeland Security ($14) + application service charge = 7,236 JPY (including tax) The Site’s application fee includes the application fee established by the U.S. Department of Homeland Security and under the Travel Promotion Act.

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updated:2018/9/28